013423932-3-27-2024-02-CC-ILOA-D3RVHX-20240327162753

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423932
Report Date: 03/27/2024
Date Signed: 03/27/2024 04:27:57 PM

Document Has Been Signed on 03/27/2024 04:27 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	SETTACHATGUL, CALVIN & ELIANE		FACILITY NUMBER:	013423932
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	03/27/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:56 PM
MET WITH:	Calvin and Eliane Settachatgul		TIME COMPLETED:	04:40 PM

NARRATIVE

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On March 27, 2024 at 2:56pm Licensing Program Analyst (LPA) Indira Loza met with Licensees Calvin and Eliane Settachatgul to conduct a case management inspection for a Capacity Increase. Present during today's visit were both Licensees, Assistant Ruth Moran Guevara, three (3) preschool age children, and three (3) infants. The operating hours are 8am-5pm Monday-Thursday.

The home is a single story apartment in the lower level of a quadplex. The home consists of a living room, kitchen, dining area, two bedrooms, and one bathroom.

The Off Limit Area is the kitchen. The off limits areas will be made inaccessible by gate, closed and/or locked doors and visual supervision.

The On Limit Areas are the living room, both bedrooms, bathroom, the driveway, and the grassy areas in front of the apartment complex. The applicants were reminded to have 100% supervision of the children when playing outside.

The home was recently Licensed on 2/6/24, LPA did a walk through of the home and observed a pull down fire alarm near the front door, a working smoke/carbon monoxide detector throughout the home and a 3A40BC fire extinguisher in the kitchen under the sink. The Licensee has Liability Insurance which expires on 3/21/25.

On 03/11/23, a fire clearance was granted to facility #013423932 by Berkeley Fire Protection Department. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

As of 11/9/23 the home has been approved to operate as a large family day care license.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families
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SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SETTACHATGUL, CALVIN & ELIANE	FACILITY NUMBER: 013423932
	VISIT DATE: 03/27/2024

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obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA verified that the applicant, and all other adults living in the home, have a criminal record clearance and are associated to the license. Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A License for a Large Family Day Care with a Capacity of 14 children will be granted effective today, March 27, 2024.

Exit interview conducted.
Report reviewed with Licensees. Report and Appeal Rights and provided to Licensees.
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SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC809 (FAS) - (06/04)

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